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Cardio Vascular Diseases Part 2: Hypertension

By Dr Guillermo Zamora MD, Homeopath.

Hypertension:

Definition and epidemiology

Hypertension is elevated blood pressure (BP) that increases the risk of injury in target organs, which can be a heart, brain, kidney or retina. Hypertension is the condition for which are prescribed more drugs in the United States it is estimated that in America there are approximately 50 million hypertensive patients, if hypertension is defined as a value of BP greater than 140/90 mm Hg. However, only 35% of them are aware of the disease. Hypertension afflicts only 20% of American whites and 30% of the black population over 18 years old, about 90% of cases are type of essential hypertension (Cause unknown and strong hereditary predisposition) .

The rest suffer from hypertension secondary to renal parenchymal disease, renovascular disease, pheochromocytoma, Cushing syndrome, primary aldosteronism and coarctation of the aorta. The prevalence of morbidity and mortality associated with hypertension, including atherosclerotic cardiovascular disease, heart failure and renal isuficiencia increases with elevated levels of systolic and diastolic BP. It is very important to normalize the BP as this reduces cardiovascular and cerebrovascular complications.

We talk of accelerated malignant hypertension when BP increases quickly and significantly above baseline values, causing acute injury in the vessels of the retina, irrespective of the absolute number of BP. It is here where I believe the homeopathic physician must assess the risk factor of time to consider when a patient with malignant hypertension should be sent to hospital for the normalization of BP.

A number of days ago, I had a case of malignant hypertension which I could not stabilize with homeopathy. At the hospital, was detected renal artery stenosis (mechanical problem), which was quickly corrected through angioplasty. Always having the wisdom of sending a patient to hospital when not achieved the success with the homeopathic intended for, you can save the life of the patient.

Detection

We should never consider that a person is hypertensive unless the BP is greater than 210/120 mm Hg or be accompanied by symptoms affecting a target organ.
Moreover, it requires a check of at least 3 or more occasions over several weeks before it is considered hypertension. Sometimes happens that the patient modifies his BP because of fears that it is the doctor or nervousness that causes a consultation with the homeopath.

Once the patient have been diagnosed as hypertensive then we should investigate about cholesterol and triglycerides numbers, urine general exam, , Blood chemical, Thorax radiography, and ECG , even an echocardiogram. Some patients is necessary assess the cardiac function or left ventricular hypertrophy*.

*(N Engl J Med 322:1561, 1990; Br Med J 303:81, 1991)

Pathognomonic symptoms of hypertension**:

**Pathognomonic symptoms of hypertension are not always present…Many times the patient does not feel any symptom, that is why is called a “silent disease”, but the homeopaths know that there are always symptoms that will be helpful in selecting an appropriate remedy.

Also called vasospasm’s symptoms and they are the following:

Headache

Tinnitus (ringing in the ears like buzzing)
Phosphenes (the patient looks mo silver spots, like sparks)
Nausea

Vomiting
Vertigo

The following are key symptoms and their homeopathic remedies. (agg=Aggravation, Amel=Improving). Of course, they are some remedies that I have used during my practice and could be dozens, but I am only going to mention some of them for curiosity.

Headache:

-Stooping (agg): Bry.

-In Anemic Girls (agg): Calc-P, Nat-m

-Lying (Agg): Gels, Glon, Lach, Lyss, Nat-c.

-Wraps amel: Mag-m, Sil.

-Blindness:

A) Before of headache: Kali-Bi, Iris, Nat-M

B) Disappears when headache is installed.

-Located: Cocc-I

-Base of the brain: Gels

-It seems to ascend from the neck: Glon (diminished carotid flow)

-Like if the head were explode: Bry, Actea-Racemosa.

A) With cough: Bry.

-In schoolgirls or students: Calc, Calc-P, Nat-m (due eyes effort), Phos-ac.

-Smoking: Gels, Glon, Lach, Lyss, Nat-C.

-In forehead:

A)Agg pressing: Stict.

B)Amel Pressing: Nux-V, Bry.

-Source from Gastric or Hepatic: Iris

A) Seeing a stain: Iris.

-Hemicraneana (Half of skull)

-Due to Mental Effort: Pic-ac, Nat-m, Sil, Gels, Glon, Lach, Lyss, Nat-C, Arg-N, Sabad.

A) Occipital-cervical: Nat-m, Sil.

-Hammering: Ferr, Bell, Chin, Glon, Nat-m

-Menses:

A)After: Nat-m, Calc-P

-Nape: Through the head to the eyes: Sil.
A) As if, crushing weight: Phos-Ac (even occipital)

-Occipital: Act-R, Sang, Petroleum.

A) Eyes to the neck: Actea-R

-Left side with left eye: Spig.

-Right side with right eye: Sang, Sil.

-Emission of urine, Ameal: Gel.

-Pulsating: Chin, Ferr, Bell, Chin, Glon, Nat-m.

-Ironing: Bry.

-As head shaking percussions: Sep.

-Pressive:

A) Toward out: Actea-R

-Strong pressing Ameal: Mag-m, Puls.

-From exposure to Sun: Lach, Nat-C, Lyss, Glon, Gels.

-Sitting agg: Caps.

-Coughing: Like if head were exploded: Caps, Bry, Nat-m, squil, Sulp.

-Unilateral: Like if introduced nail.

-Vertex: Glon, Cact, Lach, Phos-ac.

-Climacteric during: Lach

Tinnitus:

-Ferrum, China, dios (Although, repertory have 144 remedies for this symptom)

-With, headache: dios.

Phosphenes:

-Sparks: Am-C, Ars, Bell, Chin, Mag-C (Repertory have 78 remedies)

-during headache: Am-c, Ars, chel, Mag-P

Nausea:

-Nausea: Dig, Iris, Sang.

-During headhache: Cocc-I

-Overeating: Ant-C

-Memory or smell of food: Colch.

-Nothing relieves:

A) Numerous conditions: Ipeca.

-Vomiting, not improve Nausea: Ipeca.

-Vomiting improve the nauseas: Ant-t

-Arcades: Cocc-c, Erig, Podo.

Vomiting:

-Vomiting: Ant-t, dig, chel-m

-In children: Aeth
-Bulky. It does not appear that they have been expelled by the child: Aeth
-Acids: Calc, Iris, Sulph-ac, Aeth, Nat-P
-With large clots of milk: Calc, Aeth.
-With diarrhea: Ars
-Bitters: Iris
-Sweets: Iris
-Mucous: Cocc-c
-Arcades: Cocc-c, erig, podo
-During headache: Cocc-I
-traveler: Cocc-I
-Pregnancy: Sep, Kreos.
-Filante, hanging from the mouth to the bowl: Iris, cocc-c
-At night, foods are held all day: Ferr
-Retains only hot liquids: Chel-m
-Profuse with intense thirst: Bism
-Drinking water at moment the water fall in the stomach: Bism
-Endless: Kreos

Vertigo:

-Vertigo: Lach, Con, Dig

-On joining the bed: Bry (with nauseas)
-Due to the vertigo-faint: Lach
-Looking up: Sil, Puls.
-With closed eyes: Stram
-In the dark: Stram
-In old: Phos
-From the sea: Petrol.
-With great weakness trembling: Arg-n, Gels.

-With Headache: Apis, Bell, Calc, Con, Nux-v, Sil.

Other aspect that has to be considered as a symptom very frequent but not always detected is the symptom of the memory when the blood pressure is high:

-Distraction: He has to concentrate before answering simple questions: Nux-m
-Imbecility and idiocy: Bar-C
-Can not think clearly or pay attention: Gels
-Forgetful: Sel…He dreams what he forgot: Sel.
-Aversion to mental or physical: Phos
-Decreased brain power, intelligence, memory: Zinc
-Confusion to write, speak (Inadequate Terms), spelling, bad memory: Agnus, anac, Bar-c, Lach, Lyc, Op, Phos, pic-ac.
-Lost in the street is well known:Glon
-In response to a question, can start a sentence but can not complete it because he does not remember what he was going to say: Cann-I
-Weakness of Memory: Staph, Nux-m, anac-o (elders), bar-c (elders)
-Reduced mental work is exhausting: Nat-m
-Vanished ideas when speaking, reading, writing: Nux-m
-Loss of memory: nux-m, anac-O (elders)

Another symptom that is also frequent is the epistaxis:

-Epistaxis: Erigeron, Millefolium (without fear), Ferrum metallicum, Aconitum (with fear)

-Epistaxis in few quantities: Phosphorus.

-Epistaxis when washing his own face: Ammonium carbonicum.

-Epistaxis during headache: Aconitum, Agaricus musc, Belladona, Bryonia, Cinnabaris, Ferrum metallicum, Ferrum phosp, Lachesis.

Goals:

Treatment goals should be to: reduce stress, reduce fat intake, eliminating fat intake, stop smoking and cholesterol control, loss weight.

As personal experience, in the treatment of hypertension we should consider that the most of patients on first time coming to our office they come with established treatments in allopathic field. That is the why I never suddenly stop treatment that the patient is taking, I do it in a gradual process as much as possible. In the case of hypertension the percentage of patients that reaches not to need medicine is approximately 50%. (Only homeopathic remedy).

When I'm who makes the diagnosis, generally I asses the Time- risk factor and I give adequate time to act the remedy to check what will be the answer to my patient. Obviously, the result it will depend on the skill of the homeopath, the sensitivity of the patient, the obstacles which impede the efficient operation of the remedy. (organon 3, 4, 259, 260, 261)


This obliges me to set some parameters:

1.-Case of mild hypertension (140-159 in Systolic number, 90-99 in diastolic number**)* without collateral risk factors (diabetes, heart disease, hyperlipidemia, previous myocardial infarction): Only homeopathy, as long as necessary.

2.-Mild Hypertension with one or two aggregated factors: Homeopathy with stabilization of the other factors as long as necessary.

3.-Moderate hypertension (160-179 systolic, 100-109 diastolic**)* without collateral risk factors: Only homeopathy with blood pressure monitoring every third day for 2 weeks. If patient no improvement, the patient must be controlled conventionally, later homeopathy as much as possible.

4.-Moderate hypertension with collateral risk factors: Only Homeopathy blood pressure monitoring every third day for a week with stabilization of the other factors. If patient does not improve, the patient must be controlled conventionally, later homeopathy as much as possible.

5.-Severe hypertension (180-209 systolic, 110-119 diastolic**)* without collateral risk factors: Deal with homeopathy for a few hours (2-6 hours), plus system, if there is no response the patient must be sent to hospital.

6.-Severe hypertension with collateral risk factors or is accompanied by symptoms affecting a target organ: Send your patient immediately to Hospital (if he does not respond to homeopathic emergency treatment.)

7.-Malignant hypertension or very severe (>210 systolic, >120 diastolic**)*: Send your patient immediately to Hospital (if he does not respond to homeopathic emergency treatment.)

* From The Fifth Report of The Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 153:161, 1993. Blood pressure classification (Age: >18 years old)

The problem is what is the best for the patient ? Of course to find the indicated remedy and to get an immediate amelioration. If patients come to us which are under allopathic medication it is only reduced with progressing amelioration from homeopathic treatment. So the options are always, only to treat them homeopathically - no matter how severe his condition is (many homeopathic hospitals in India work in this way), or to give allopathic and homeopathic medication and reduce allopathic drugs with amelioration.

The following remedies have been found as practical and helpful in my medical practice. This does not mean that they are the only one for hypertension. Every homeopath must find the similar remedy for each patient according the symptomatic totality, it means, following the Similar´s law.

-Aurum metallicum: Aurum The patient has fatty degeneration of the heart in old obese and ruddy. The hemianopsia or blindness can occur in one half of the visual field (carotid insufficiency). On the mental plane he has limit tended to suicide (by drowning), depression.

-Baryta muriatica: Ischemia´s conditions, elders with arterial hypertension and vascular degeneration. Atherosclerosis, Alzheimer's, if the patient is for Bar-muriatic.

-Baryta carbonica: The weakness of mind of these patients can attain a level of idiocy or imbecility, although for an increase in blood pressure can only be a mild degree of memory loss, especially for recent events. It is also appropriate for the elderly with mental and physical weakness, staggering gait, confusion. There may be fetid feet sweat, they suffer from climate changes when it gets wet and they are sensitive to cold. It is also appropriate for the elderly with mental and physical weakness, staggering gait, confusion. There may be fetid feet sweat and they may get ailments by removal of the sweat. They suffer from climate changes when it gets wet and they are sensitive to cold.

-Calcarea carbonica: The character is apathetic, they are indolent or slow in their movements (sulfur is almost the exact opposite: fast, tense, nervous, active) They are prone to obesity. In terms of both subjective and objective is cold. They feel cold, and touch are cold. They face swollen and pale. You have copious sweating of the head. A common habit and very counterproductive calcarea patients is that they have great desire to eat huevos.Sensibilidad dolorodel chest to touch and inspiration. Dyspnea during walking, especially when ascending. On the other hand, may have decreased appetite and emaciation.
Keywords for the identification of this drug: cold, limp, flabby, obese.

-Cocculus indicus: This is among the most active remedies on cerebrospinal system. In its pathogenesis have nausea that come to induce vomiting and are accompanied by great weakness and intense vertigo to lift his head. His hand trembles as he eats the more so the lifts. Feeling of heaviness in occipital cervical region of head. Mental confusion and stupor, which increase when eating or drinking. Vertigo as if were drunk. Headache with nausea and vomiting tendency, particularly aggravated when traveling by car or boat. This is one of medicines most often marked in hypertensive crisis. In cocculus there a metallic taste in the mouth . Great depression. Feeling of weakness or emptiness in various organs. Bad effects of sleep loss, the vigils or overwork.

-Ferrum Metallicum: Face ashen, pale or greenish, how we present the pain or other symptoms, her face turns bright red. The slightest emotion or the slightest effort they turn red face and snatches. Rush of blood to the head, cephalic veins engorged, Hot flashes in the face. Pains like if pounding, throbbing and throbbing in the head. Epistaxis.

-Lachesis: Presented by Constantino Hering. It corresponds to him the honor to has us made to know this serpent poison. This remedy is an action alternate excitation and depression in the mental plane. on one hand has fast compression, mental activity with almost prophetic perception. Exceptional loquacity of topics, he/she quickly changes from one to another idea. On the side of depression: have weakness of memory, makes mistakes when writing, time disorientation, delirium at night, muttering, drowsy, red face difficult and slow speech, loss of lower jaw. I feel extremely sad, depressed, unhappy and distressed. Existing afflictions and sorrows long.

Often in old drinkers, subjects with vitality exhausted and disorders accompanying the climacteric age. Such patients are subject to sudden withdrawal of forces events, fainting, dizziness caused by the rush of blood to the head that causes an apoplectic stroke. Headaches caused by the sun. Feeling of pressure in the crown of the head. The face is very pale during headache and headache is installed during the patient's sleep. headache extends to the nose. Lachesies great enemy of the constriction, can not bear anything tight. The throat and neck are more sensitive to light touch or external pressure. The skin becomes bluish purpurea or as a result of the tendency to bruising. Often useful to reflect briefly and cough in relation to heart disease (including side effects of ACE inhibitors)

In acute or chronic heart disease symptoms guide are: The peculiar choking, coughing, and aggravation from any constraint.

Trembling from extreme weakness, is worse in the morning, after sleeping. Burning type chest pain that goes from left to right.
In cases of cerebral vascular event the paralysis usually affects the left side
It is worse after sleep. As soon as the patient falls asleep the breathing stops.
Lower extremities have blue edemas almost black, sometimes with varicose ulcers bleed much.

-Secale: It´s a remedy of first option so that is an excellent vasodilator. It is well known for its good effects in gangrene and when is the homeopathic to the patient It works very well.

-Sanguinaria: Headache: The pain starts in the occipital region, rises and shines through the head to come and register on the right eye. The headache is accompanied by nausea and vomiting. The patient has great dyspnoea and circumscribed redness of the cheeks. Tufaro heat, with the palms and soles of the feet warm.

-Natrum muriaticum: Of course if you get information about your patient desires a lot of salt on the food, the first remedy you should think is Natrum muriaticum. Although not always the salt is a factor that increases the blood pressure levels, al least in this remedy is one characteristic. We're talking about a patient who is prone to anemia. It is noted general pallor, emaciation, although the patient eats well (sil). On an emotional level the patient cries a lot but unlike Pulsatilla consolation aggravates. Presents palpitations and abnormal heart rhythms. Presents chronic headaches worse after the menstrual period, eye strain. Numbness in the tongue, lips, and nose. geographic tongue. Natrum mur exerts a strong action on the heart and circulation, as indicated by the following major symptoms: Agitation tumultuous delorazón with feeling of weakness and faintness, worse when lying. Intermission irregular heartbeat and pulse, exacerbated when lying on left side. Violent palpitation of the heart that shake the whole body. All presents are so estsintomas more pronounced in anemic subjects, with their general broken by grief, sexual excess, blood loss and other debilitating causes. Effective in conditions due to abuse of quinine.

-Plumbum Metallicum: His power to cause paralysis is well known, especially of the lower limbs. You may have extreme tenderness of the skin. Extreme and rapid emaciation. Atherosclerosis.

-Rawfolia Serpentina: He Feels the heartbeat to the throat. Palpitation efforts, intense, the feeling in the fingertips. Precordial pain on effort. Palpitation with an irregular heartbeat when lying, standing or walking better. Transient elevation of blood pressure followed by hypotension.

-Strontiun Carbonicum: HBP with violent arterial pulsations. Face red and hot, throbbing headaches sometimes with vertigo and nausea. Hypertensive crisis, aggravated by cold, relieved by warmth. Arteriosclerosis.

-

Hipercolesterolemia

Hypercholesterolemia increases the risk of cardiovascular disease, which is higher in people with elevated total cholesterol (above 200 mg / dl) to expenses of low-density lipoproteins (bad fats) and very low levels of high density lipoprotein (healthy fats). This risk is associated with coronary heart disease and myocardial infarction. Overall, there is risk of pancreatitis, liver problems. Splenomegaly. Coronary atherosclerosis and in peripheral vessels.

But if the indicated remedy is given and obstacles to cure are removed, including maintaining causes, then the cholesterol level will also normalize

Law Fat Diet


A) Limiting the servings of beef, pork, chicken and fish to 90 gr. The total consumption of meat should be 180 gr. day
*** The cuts of veal or lean pork should be presented well, the skin from chicken and turkey should be discarded and you should avoid fried foods.
*** Avoid vegetable oils with highly saturated fats such as coconut or palm oil.


B) low-fat dairy products should be used instead of whole milk products.
*** The soft margarines, liquid vegetable oils and cheeses with a reduced fat content are preferable to butter, shortening, pastry and high-fat cheeses ..
*** Avoid eating fried foods and preferably low-fat and soft margarines.
*** Use olive oil.


C) Reduce intake of egg yolks and meats visors as liver, kidney, brains or sweetbreads.
*** Must be Limit meat, poultry and fish to 150-180 gr. day.
*** The maximum number of buds per week (including those used in prepared foods is four).


D) It should be eating fresh fruit, whole grains, vegetables to provide nutrients and fiber.
*** It should include at least 2 to 3 dishes of vegetables, 2 to 3 servings of fruit and 3 servings of bread or other cereals.




E) If your triglycerides are high, avoid simple sugars, alcohol, and seafood (shrimp, octopus, clam, and squid)

Exercise Routine

Walking 20 to 30 minutes a day guarantees burning calories and a better performance of the vascular system. The best way of knowing that the patient is not exceeding its effort, is that he can talk without being short of breath. If that happens, the patient must stop and rest.



I find a good advice to give you using remedies that have action on the liver and pancreas because, overall, the liver works diminishing the levels of lipids through enzymes. therefore the following could appear into your repertorizations:

-Lycopodium Clavatum, Chelidonium, natrum sulphuricum, Arsenicum album.

Although you can use others as:

-Aurum metallicum, Crotallus horridus, Sanguinaria, Thuja, Nitric acidum, Argentum nitricum, Cardus marianus, Hydrastis.

Views: 1085

Comment by Debby Bruck on March 19, 2010 at 2:41pm
Dear Guillermo. Thank you so much for this contribution. I'm slowly reading through this. There are questions, such as...defining these terms and recognizing them in the patient.

-In schoolgirls or students: Calc, Calc-P, Nat-m (due eyes effort), Phos-ac.
Can you explain how you know this is the main theme or keynote? What else needs to be present?

-Smoking: Gels, Glon, Lach, Lyss, Nat-C.
Please tell if the person is getting an aggravation from smoking. Does the person normally smoke without a problem? Addicted to smoking? Does this matter chewing tobacco, cigarettes, cigars or other? Or even getting second hand smoke?

-In forehead:
A)Agg pressing: Stict.
Does this mean that the headache feels as if there is Pressing Sensation? Or does this mean when pressing the head the headache is worse?

B)Amel Pressing: Nux-V, Bry.
This means when pressing on the head, it improves the headache?

-Source from Gastric or Hepatic: Iris
This means in addition to the headache, there is a connection or comcommitant along with headache of upset or disorder digestion? Perhaps the headache was caused by the gastric upset?

A) Seeing a stain: Iris.
Please explain?
Comment by Dr Guillermo Zamora on March 19, 2010 at 3:24pm
Dear Debby:

Your questions:

1.-Can you explain how you know this is the main theme or keynote? What else needs to be present?..GZ...I think, it must be have to do with activities in the school (certan degree of stress, mind and optical efforts) associated to hormonal changes.


2.-Does this mean that the headache feels as if there is Pressing Sensation? Or does this mean when pressing the head the headache is worse?..GZ.-The last...when presing the head the headache is worse

3.-This means when pressing on the head, it improves the headache? Dr. G.-YES

4.-This means in addition to the headache, there is a connection or comcommitant along with headache of upset or disorder digestion? Perhaps the headache was caused by the gastric upset? GZ...It is well known, when patients get liver problems...levels of amoniac are increased, so lots of symptoms could be present..one of them, headache. Of course every persone has an unique way to react to certain pains.

5.-Seeing a stain: Iris.
Please explain? ...Dr. G...Correction..Spot
Comment by Marilyn Freedman on August 4, 2011 at 2:06pm

Dear Dr. Guillermo,

 

This is a great article!  Thank you for sharing your clinical approach to hypertension.  

Comment by Dr Guillermo Zamora on August 9, 2011 at 1:25pm

Dear Marilyn:

You are very welcome.

Best

Dr. Guillermo

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